Individual
DR. EMILE BENARDOT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
183 PARK ST, SUITE 2, MALONE, NY 12953-1238
(518) 483-5800
(518) 483-1113
Mailing address
183 PARK ST, SUITE 2, MALONE, NY 12953-1238
(518) 483-5800
(518) 483-1113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459965
—
NY
01
—
411858
MVP PROVIDER ID
NY
Enumeration date
03/28/2006
Last updated
07/08/2007
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